Affinity Health Plan

  • Form 1095-A

    If you or anyone in your household enrolled in an AffinityAccess plan through the NY State of Health (NYSOH), this tax season you’ll get a new Form 1095-A — Health Insurance Marketplace Statement from NYSOH . You’ll get this form in the mail and use it to file your 2016 federal income tax return. Keep it with other important tax information, like your W-2 forms and other tax records.

    A sample of Form 1095-A is available from the IRS website. When you get Form 1095-A, make sure the information matches your records. Check things like coverage start and end dates and the number of people in your household. If you think anything is incorrect, please contact the NY State of Health at 855.766.7860 for assistance.

    Form 1095-B

    If you or anyone in your household enrolled in an AffinityAccess Catastrophic or off-exchange plan, you will receive Form 1095-B in the mail directly from Affinity. Use this form to file your 2016 federal income tax return. Again, when you get your form, check to make sure the information matches your records (sample Form 1095-B). If any information is incorrect, or if you fail to receive your form, please contact Affinity Health Plan customer service at 888.543.6973, Monday to Friday, 8:00 a.m. to 6:00 p.m.